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Humana Consolidates Claims Edits

Good news for physicians who treat Humana-insured patients. Humana has combined its edits into two documents. One is a list of current edit updates. The second is a compilation of edits from November 2008 through the current edits.

Previously, practices had to wade through 11 spreadsheets when searching Humana claim edits. TMA worked with the federation of medicine through the American Medical Association to bring about this change.You can search the lists by keyword for specific topics, procedures to help locate information relevant to claims. Humana notes these are not all-inclusive lists of every policy and code edit that may be applied to claims by Humana.

You can access the lists in the Claims Resources section of the Humana provider website.